Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles J Vassallo, MD

Individual provider Diagnostic Radiology Physician · NPI 1578598330

Charles J Vassallo, MD is a Diagnostic Radiology in Edina, Minnesota. Graduated from Georgetown University School of Medicine in 1976, 50 years ago. Practices with Virtual Radiologic Professionals LLC, a 393-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
50
Trained at
Georgetown University School of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone: (952) 595-1301
Fax: (612) 294-4903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 200230 (NY)

Record details

NPI number1578598330
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 1976 (50 years in practice)
Group practice Virtual Radiologic Professionals Llc — 393 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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